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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGETANK MONITORING PLAN- Pae 1 of 2) TYPE OF ACTION ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 410-1 PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY_ 4942 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as Facility Name or DBA) 3 Chevron Station#98264 BUSINESS SITE ADDRESS 3775 Tracy Blvd 103 CITY TraCy,CA 95304 �1u II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)most be performed at the frequency specified by the equipment manufacturers'inswctions,or annually,whichever is mon;Creguent Such work most be performed by qualified pmonnel.123 CCR§2632,26M,M38,2641 MONITORING EQUIPMENT IS SERVICED ® I.ANNUALLY90.3. ❑ 99.OTHER(Specify): 4 691436. IH. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED 123 CCR§263226341 490.4. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) Chak(rr I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 4-5thatWITH AUDIBLE AND VISUAL ALARMS.123 CCR§2632,2634) SECONDARY CONTAINMENT IS: N a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 4906 PANEL MANUFACTURER: Veeder-Root 49°'3- MODEL#: TLS-350 490.8. LEAK SENSOR MANUFACTURER: Veede-Root 490- MODEL#(S): LNuid Seuwr Serin 794380409 49x10_ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).123 CCR§2613[ 49 H. PANEL MANUFACTURER 490.12. MODEL#: 490.1_ IN-TANK PROBE MAN UFA 49 14. MODEL#(S). 490.15. LEAK TEST FREQUENCY: ❑ a.C .DAILYINIGHTLY LI a WEEKLY 490'16 ❑ d.MONTHLY ❑ e.OTHER(Specify): 49 17 PROGRAMMED TESTS: ❑ a.0.1 g.p.b. ❑ b.0.2 gp.h. ❑ c.OTHER(Specify): 419. 49o-19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION 123 CCR§2646.11 49 20. [34.WEEKLY MANUAL TANK GAUGING(MTG)Iz3 cca§z64s1 TESTING PERIOD. ❑ a.36 HOURS ❑ b.60 HOURS 490.21. ❑ S.TANK INTEGRITY TESTING PER I23 cca g264311 49o-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 4942 24. ❑ 99.OTHER(Specify): 49x26. 49 27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check qB lhq!q ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 121 fEi CCR SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED [Id.UNDER VACUUM 49x29§263 . PANEL MANUFACTURER:Ve@der-Root 49 X MODEL#: TLS-350 49x31' LEAK SENSOR MANUFACTURER: Veeder-Root 49032' MODEL#(S): Liquid Sensor Series 794380-208 490.4 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 49x34. FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490.35. ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 gp.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490.36. PRODUCT FLOW WHEN A LEAK IS DETECTED.123 CCR§26361 MLLD MANUFACTURER(Sf 4903°. MODEL#(S): 49 38. ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.123 ccR§26361 490.39 ELLD MANUFACTURER(S):Veeder-Root 690-40' MODEL#(S):PLLD Senn 84M88-001 49x41 PROGRAMMED IN LINE LEAK TEST: ❑ &MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 49x42. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 49°43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ K NO 490.44 ❑ 4.PIPE INTEGRITY TESTING. 49045. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 44,49 ❑ 5.VISUAL PIPE MONITORING. 490.48. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 49°-49 `Miow forme mnng ofwbun4 me1gmly mibr fuel piptpmg_Iz)>a_HSC§25281.5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.123 CCR§2630.N311 4v 50. ❑ Z NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 49 5r 0 99.OTHER(Specify) 4w53